Integrating a Mental Health Intervention Into Primary Health Care for Refugees

International Rescue Committee

Status: Enrolling

Conditions: Hypertension; Self Efficacy; Diabetes; Epilepsy; Medication Adherence; Mental Health Issue

Treatments: Behavioral: Common Elements Treatment Approach

Study type: Interventional

Funder types: Other

Identifiers

NCT05512624

EX175

Details and patient eligibility

About

The objective of this study is to evaluate the impact of an evidence-based mental health intervention (Common Elements Treatment Approach) on medication adherence, behavioral improvement and clinical outcomesamong adults taking medication for hypertension, diabetes and epilepsy using a two-arm randomized wait-list controlled trial among adult refugees in Mae La camp, Thailand.

Enrollment: 308 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• A. Inclusion criteria:

  1. Patients who was diagnosed by physician based on ICD 10 to have diabetes, hypertension or diabetes with hypertension comorbidity, or epilepsy.
  2. Registered in chronic database system of the camp.

B. Exclusion criteria:

1. who are younger than 18 years old
2. who have severe physical illness
3. who have severe mental disorders
4. who will not stay in the camp until the end of the program
5. who are not willing to participate in the program

Exclusion criteria

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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308 participants in 2 patient groups

Intervention Arm

Experimental group

Description:

The course of Common Elements Treatment Approach (CETA - the intervention under study) is built to be flexible depending on need. Mild symptoms could result in fewer sessions (e.g., 5), while greater severity may require 8-12 sessions.

Treatment:

Behavioral: Common Elements Treatment Approach

Waitlisted Arm

No Intervention group

Description:

The waitlisted arm will be offered the CETA approach upon conclusion of the endline data collection.